Fairlawn Behavioral Associates LLC
Psychologist, Prescribing (Medical) in Fair Lawn, New Jersey
1861876419- Practice location
- 15-01 Broadway, Suite# 10B, Fair Lawn, NJ 07410-6003
- Phone
- 201-342-4004
- Fax
- 201-342-4008
- Last updated
- July 14, 2015
Fairlawn Behavioral Associates LLC is a healthcare organization based in Fair Lawn, NJ. Fairlawn Behavioral Associates LLC practices in Fair Lawn, NJ. The NPI Number for Fairlawn Behavioral Associates LLC is 1861876419 and holds a License No. 25MA6506500 (NJ). The current practice location address for Fairlawn Behavioral Associates LLC is 15-01 Broadway, Suite# 10B, Fair Lawn, NJ 07410-6003 and can be reached out via phone at 201-342-4004 and via fax at 201-342-4008.
Provider Profile Details
- NPI Number
- 1861876419
- Provider Name
- Fairlawn Behavioral Associates LLC
- Provider Entity Type
- Organization
- Address
- 15-01 Broadway, Suite# 10B, Fair Lawn, NJ 07410-6003
- Phone Number
- 201-342-4004
- Fax Number
- 201-342-4008
- Primary Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X
- Organization Subpart
- No
- Authorized Official
- Mr. Mohsan Jan · Administartor · 201-289-8455
- Provider Enumeration Date
- July 14, 2015
- Last Update Date
- July 14, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15-01 Broadway
Suite# 10B
Fair Lawn, NJ 07410-6003 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-6003
- Phone Number
- 201-342-4004
- Fax Number
- 201-342-4008
Provider Business Mailing Address Details
- Address
- Po Box 809
Teaneck, NJ 07666-0809 - City
- Teaneck
- State
- NJ
- Zip
- 07666-0809
- Phone Number
- 201-342-4004
- Fax Number
- 201-243-7874
License Information
- License Number
- 25MA6506500
- License State
- NJ
- Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fairlawn Behavioral Associates LLC?
The NPI number of Fairlawn Behavioral Associates LLC is 1861876419. It was assigned on July 14, 2015 and is currently active in the NPPES registry.
What is the specialty of Fairlawn Behavioral Associates LLC?
Fairlawn Behavioral Associates LLC is registered under the primary taxonomy Psychologist, Prescribing (Medical) (code 103TP0016X), licensed in NJ under license number 25MA6506500.
Where does Fairlawn Behavioral Associates LLC practice?
The practice location is 15-01 Broadway, Suite# 10B, Fair Lawn, NJ 07410-6003. The office can be reached at 201-342-4004 (phone) or 201-342-4008 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861876419 directly on the NPPES registry website.